| Doctor Name: | MR. MICHAEL G. HOLLER |
| NPI Number: | 1023057791 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.H.C. |
| License Number: | MH3670 |
| Business Practice Address: | 91831 Overseas Hwy Ste A Tavernier, FL - 330702647 |
| Business Phone Number: | 3053931230 |
| Business Fax Number: | 3058527479 |
| Mailing Address: | 127 Pirates Dr, KEY LARGO |
| State: | FL |
| Postal Code: | 330372321 |
| Phone Number: | 3053931230 |
| Fax Number: | 3058531253 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH3670 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |